National trends in total cholesterol obscure heterogeneous changes in HDL and non-HDL cholesterol and total-to-HDL cholesterol ratio : a pooled analysis of 458 population-based studies in Asian and Western countries

Taddei, Cristina; Jackson, Rod; Zhou, Bin; Bixby, Honor; Danaei, Goodarz; Di Cesare, Mariachiara; Kuulasmaa, Kari; Hajifathalian, Kaveh; Bentham, James; Bennett, James E; Aekplakorn, Wichai; Cifkova, Renata; Dallongeville, Jean; DeBacquer, Dirk; Giampaoli, Simona; Gudnason, Vilmundur; Khang, Young-Ho; Laatikainen, Tiina; Mann, JimI; Marques-Vidal, Pedro; ... (2019). National trends in total cholesterol obscure heterogeneous changes in HDL and non-HDL cholesterol and total-to-HDL cholesterol ratio : a pooled analysis of 458 population-based studies in Asian and Western countries International Journal of Epidemiology, pp. 1-20. Oxford University Press ; HighWire Press 10.1093/ije/dyz099

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Background Although high-density lipoprotein (HDL) and non-HDL cholesterol have opposite associations with coronary heart disease, multi-country reports of lipid trends only use total cholesterol (TC). Our aim was to compare trends in total, HDL and non-HDL cholesterol and the total-to-HDL cholesterol ratio in Asian and Western countries. Methods We pooled 458 population-based studies with 82.1 million participants in 23 Asian and Western countries. We estimated changes in mean total, HDL and non-HDL cholesterol and mean total-to-HDL cholesterol ratio by country, sex and age group. Results Since ∼1980, mean TC increased in Asian countries. In Japan and South Korea, the TC rise was due to rising HDL cholesterol, which increased by up to 0.17 mmol/L per decade in Japanese women; in China, it was due to rising non-HDL cholesterol. TC declined in Western countries, except in Polish men. The decline was largest in Finland and Norway, at ∼0.4 mmol/L per decade. The decline in TC in most Western countries was the net effect of an increase in HDL cholesterol and a decline in non-HDL cholesterol, with the HDL cholesterol increase largest in New Zealand and Switzerland. Mean total-to-HDL cholesterol ratio declined in Japan, South Korea and most Western countries, by as much as ∼0.7 per decade in Swiss men (equivalent to ∼26% decline in coronary heart disease risk per decade). The ratio increased in China. Conclusions HDL cholesterol has risen and the total-to-HDL cholesterol ratio has declined in many Western countries, Japan and South Korea, with only a weak correlation with changes in TC or non-HDL cholesterol.

Item Type:

Journal Article (Original Article)

Division/Institute:

Health Professions
Health Professions > Nutrition and Dietetics

Name:

Taddei, Cristina;
Jackson, Rod;
Zhou, Bin;
Bixby, Honor;
Danaei, Goodarz;
Di Cesare, Mariachiara;
Kuulasmaa, Kari;
Hajifathalian, Kaveh;
Bentham, James;
Bennett, James E;
Aekplakorn, Wichai;
Cifkova, Renata;
Dallongeville, Jean;
DeBacquer, Dirk;
Giampaoli, Simona;
Gudnason, Vilmundur;
Khang, Young-Ho;
Laatikainen, Tiina;
Mann, JimI;
Marques-Vidal, Pedro;
Mensah, GeorgeA;
Müller-Nurasyid, Martina;
Ninomiya, Toshiharu;
Petkeviciene, Janina;
Rodríguez-Artalejo, Fernando;
Servais, Jennifer;
Söderberg, Stefan;
Stavreski, Bill;
Wilsgaard, Tom;
Zdrojewski, Tomasz;
Zhao, Dong;
Stevens, Gretchen A;
Savin, Stefan;
Cowan, Melanie J;
Riley, Leanne M;
Ezzati, Majid;
Adams, Robert J;
Aekplakorn, Wichai;
Ahrens, Wolfgang;
Amouyel, Philippe;
Amuzu, Antoinette;
Anderssen, Sigmund A;
Ariansen, Inger;
Arveiler, Dominique;
Aspelund, Thor;
Auvinen, Juha;
Avdicová, Mária;
Banach, Maciej;
Bandosz, Piotr;
Banegas, José R;
Barbagallo, Carlo M;
Bata, Iqbal;
Baur, Louise A;
Beaglehole, Robert;
Bennett, James E;
Bernotiene, Gailute;
Bi, Yufang;
Bienek, Asako;
Björkelund, Cecilia;
Bo, Simona;
Boehm, Bernhard O;
Bonaccio, Marialaura;
Bongard, Vanina;
Borchini, Rossana;
Borghs, Herman;
Breckenkamp, Juergen;
Brenner, Hermann;
Bruno, Graziella;
Busch, Markus A;
CabreradeLeón, Antonio;
Capuano, Vincenzo;
Casanueva, Felipe F;
Casas, Juan-Pablo;
Caserta, Carmelo A;
Censi, Laura;
Chen, Fangfang;
Chen, Shuohua;
Chirlaque, María-Dolores;
Cho, Belong;
Cho, Yumi;
Chudek, Jerzy;
Cifkova, Renata;
Claessens, Frank;
Clarke, Janine;
Clays, Els;
Cooper, Cyrus;
Costanzo, Simona;
Cottel, Dominique;
Cowell, Chris;
Crujeiras, AnaB;
Cui, Liufu;
D'Arrigo, Graziella;
Dallongeville, Jean;
Dauchet, Luc;
De Backer, Guy;
De Bacquer, Dirk;
de Gaetano, Giovanni;
De Henauw, Stefaan;
De Smedt, Delphine;
Dennison, Elaine;
Deschamps, Valérie;
DiCastelnuovo, Augusto;
Dobson, Annette J;
Donfrancesco, Chiara;
Döring, Angela;
Drygas, Wojciech;
Du, Yong;
Dziankowska-Zaborszczyk, Elzbieta;
Eggertsen, Robert;
Ekelund, Ulf;
Elosua, Roberto;
Eriksson, JohanG;
Evans, Alun;
Fäh, David;
Felix-Redondo, Francisco J;
Fernández-Bergés, Daniel;
Ferrari, Marika;
Ferrieres, Jean;
Finn, JosephD;
Forslund, Ann-Sofie;
Forsner, Maria;
Frontera, Guillermo;
Fujita, Yuki;
Gaciong, Zbigniew;
Galvano, Fabio;
Gao, Jingli;
Garcia-de-la-Hera, Manoli;
Garnett, SarahP;
Gaspoz, Jean-Michel;
Gasull, Magda;
Gates, Louise;
Giampaoli, Simona;
Gianfagna, Francesco;
Gill, Tiffany K;
Giovannelli, Jonathan;
Goltzman, David;
GonzalezGross, Marcela;
Gottrand, Frederic;
Graff-Iversen, Sidsel;
Grafnetter, Dušan;
Gregor, Ronald D;
Grodzicki, Tomasz;
Grosso, Giuseppe;
Gruden, Grabriella;
Gu, Dongfeng;
Guallar-Castillón, Pilar;
Gudmundsson, EliasF;
Gudnason, Vilmundur;
Guessous, Idris;
Gunnlaugsdottir, Johanna;
Gutzwiller, Felix;
Hardy, Rebecca;
Hata, Jun;
Haugsgjerd, Teresa;
Hayes, Alison J;
He, Jiang;
He, Yuna;
Herrala, Sauli;
TapaniHihtaniemi, Ilpo;
Hobbs, Michael;
Hopman, Wilma M;
MaríaHuerta, José;
Huybrechts, Inge;
Iacoviello, Licia;
Iannone, Anna G;
Ikeda, Nayu;
Iwasaki, Masanori;
Jackson, Rod;
Jamrozik, Konrad;
Janszky, Imre;
Jarvelin, Marjo-Riitta;
Jasienska, Grazyna;
Jennings, Garry;
Jeong, Seung-lyeal;
QiangJiang, Chao;
Joffres, Michel;
Jokelainen, Jari J;
Jonas, Jost B;
Jóźwiak, Jacek;
Kajantie, Eero O;
Kauhanen, Jussi;
Keil, Ulrich;
Keinänen-Kiukaanniemi, Sirkka;
Kersting, Mathilde;
Khang, Young-Ho;
Kiechl-Kohlendorfer, Ursula;
Kiechl, Stefan;
Kim, Jeongseon;
Kim, Yeon-Yong;
Klumbiene, Jurate;
Knoflach, Michael;
Ko, Stephanie;
Kolle, Elin;
Korpelainen, Raija;
Koskinen, Seppo;
Kouda, Katsuyasu;
Kratzer, Wolfgang;
Kriemler, Susi;
Krokstad, Steinar;
Kujala, UrhoM;
Kurjata, Pawel;
Kuulasmaa, Kari;
Laatikainen, Tiina;
HingLam, Tai;
Lanska, Vera;
Lappas, Georg;
Laugsand, LarsE;
Lee, Jeonghee;
Lehtimäki, Terho;
Li, Yanping;
Lilly, Christa L;
Lin, Xu;
Lind, Lars;
Lissner, Lauren;
Liu, Jing;
Lopez-Garcia, Esther;
Lorbeer, Roberto;
EugenioLozano, José;
Luksiene, Dalia;
Lundqvist, Annamari;
Lundqvist, Robert;
Lytsy, Per;
Ma, Guansheng;
Machi, Suka;
Maggi, Stefania;
Magliano, Dianna J;
Mann, JimI;
Manzato, Enzo;
Marques-Vidal, Pedro;
Mathiesen, Ellisiv B;
McLachlan, Stela;
McLean, Rachael M;
Scott, B;
Meirhaeghe, Aline;
Metcalf, Patricia;
Mi, Jie;
Miller, Jody C;
Moreno, Luis A;
Morin, Suzanne;
Mossakowska, Malgorzata;
Muiesan, Maria L;
Müller-Nurasyid, Martina;
Mursu, Jaakko;
Nakamura, Harunobu;
Námešná, Jana;
MariaNavarrete-Muñoz, Eva;
Neal, William A;
Nenko, Ilona;
Niiranen, Teemu J;
Ning, Guang;
Ninomiya, Toshiharu;
Noale, Marianna;
Norie, Sawada;
Noto, Davide;
O'Neill, Terence;
O'Reilly, Dermot;
Oh, Kyungwon;
Olafsson, Örn;
MichelPaccaud, Fred;
Pajak, Andrzej;
Palmieri, Luigi;
Panza, Francesco;
Parnell, Winsome R;
Peltonen, Markku;
Peters, Annette;
Petersmann, Astrid;
Petkeviciene, Janina;
Pigeot, Iris;
Pilotto, Lorenza;
Piwonska, Aleksandra;
Plans-Rubió, Pedro;
Porta, Miquel;
Price, Jacqueline F;
Puder, Jardena J;
Puhakka, Soile E;
Radisauskas, Ricardas;
Raitakari, Olli;
Ramos, Rafel;
Redon, Josep;
Rigo, Fernando;
Rodríguez-Artalejo, Fernando;
Rodriguez-Perez, María del Cristo;
Romaguera, Dora;
Ronkainen, Kimmo;
Rosengren, Annika;
Roy, Joel G R;
Ruidavets, Jean-Bernard;
Rutkowski, Marcin;
Salanave, Benoit;
Salmerón, Diego;
Salomaa, Veikko;
Salonen, Jukka T;
Salvetti, Massimo;
Sans, Susana;
Saramies, Jouko L;
Saum, Kai-Uwe;
Scheidt-Nave, Christa;
Schienkiewitz, Anja;
Schipf, Sabine;
Schmidt, Carsten O;
Schöttker, Ben;
Sebert, Sylvain;
Sen, Abhijit;
Servais, Jennifer;
Shaw, Jonathan E;
Shibuya, Kenji;
WookShin, Dong;
Shiri, Rahman;
Simons, Judith;
Simons, Leon A;
Sjöström, Michael;
Slowikowska-Hilczer, Jolanta;
Slusarczyk, Przemyslaw;
Söderberg, Stefan;
Solfrizzi, Vincenzo;
Sonestedt, Emily;
Soumare, Aicha;
Staessen, Jan A;
Stathopoulou, Maria G;
Stavreski, Bill;
Steene-Johannessen, Jostein;
Stehle, Peter;
Stieber, Jutta;
Stöckl, Doris;
Stokwiszewski, Jakub;
Sundström, Johan;
Suriyawongpaisal, Paibul;
Tamosiunas, Abdonas;
JooTan, Eng;
Taylor, Anne;
Tell, Grethe;
Thijs, Lutgarde;
Tolonen, Hanna K;
Topór-Madry, Roman;
JoséTormo, María;
Torrent, Maties;
Tsugane, Shoichiro;
Tuomainen, Tomi-Pekka;
Tuomilehto, Jaakko;
Tzourio, Christophe;
Uusitalo, Hannu M T;
VanHerck, Koen;
Vanderschueren, Dirk;
Vanuzzo, Diego;
Vatten, Lars;
Vega, Tomas;
Veronesi, Giovanni;
Vioque, Jesus;
Virtanen, JyrkiK;
Visvikis-Siest, Sophie;
Vollenweider, Peter;
Voutilainen, Sari;
Vrijheid, Martine;
Wagner, Aline;
Wagner, Anne;
Wang, Ming-Dong;
Wang, Qian;
XingWang, Ya;
Goya Wannamethee, S;
Wei, Wenbin;
Whincup, Peter H;
Wiecek, Andrzej;
Willeit, Johann;
Willeit, Peter;
Wilsgaard, Tom;
Wojtyniak, Bogdan;
Wong, Andrew;
Woodward, Mark;
GiwercmanWu, Aleksander;
Wu, Frederick C;
Wu, Shouling;
Xu, Haiquan;
Xu, Liang;
Yan, Weili;
Yang, Xiaoguang;
Ye, Xingwang;
Yoshihara, Akihiro;
Zambon, Sabina;
Zdrojewski, Tomasz;
Zhao, Dong and
Zhao, Wenhua

Subjects:

R Medicine > R Medicine (General)

ISSN:

0300-5771

Publisher:

Oxford University Press ; HighWire Press

Language:

English

Submitter:

David Fäh

Date Deposited:

13 Jan 2020 16:35

Last Modified:

28 Apr 2020 11:57

Publisher DOI:

10.1093/ije/dyz099

ARBOR DOI:

10.24451/arbor.10063

URI:

https://arbor.bfh.ch/id/eprint/10063

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